Staged Interventional and Surgical Treatment of Patient with Chronic Pancreatitis Complicated by Pancreaticopleural Fistula with Lung Abscesses

Kokhanenko, N. Yu.; Kashintsev, Alexey; Bobylkov, A. A.; Avanesyan, R. G.; Shepichev, E. V.; Ivanov, A L; Solovyova, L. A.; Shiryajev, Yuri N.

doi:10.12659/ajcr.922195

Cited by 3 publications

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“…1,2 We identified 28 patients with pancreaticobronchial fistulas, 21 cases of pancreaticopericardial fistulas, and 2 cases of lung abscess as a complication of PPF in the literature as of 2020. [1][2][3][4] Because of the rarity of these presentations, diagnosis and management approaches are not well defined. We conducted a case series and literature review of 5 patients from a single tertiary care institution with the aim of formalizing future management guidelines and bringing up this rare entity in the differential diagnosis of patients admitted with unusual symptoms related to pancreatitis.…”

Section: Transdiaphragmatic Pancreatic Fistulas a Case Series Of Rare...mentioning

confidence: 99%

“…There are fewer than 100 cases reported to date in the literature, with the majority of cases described as PPF 1,2 . We identified 28 patients with pancreaticobronchial fistulas, 21 cases of pancreaticopericardial fistulas, and 2 cases of lung abscess as a complication of PPF in the literature as of 2020 1–4 . Because of the rarity of these presentations, diagnosis and management approaches are not well defined.…”

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Transdiaphragmatic Pancreatic Fistulas

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Section: Transdiaphragmatic Pancreatic Fistulas a Case Series Of Rare...mentioning

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Transdiaphragmatic Pancreatic Fistulas

et al. 2021

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Mediastinal pancreatic pseudocyst masquerading as diffuse alveolar haemorrhage

2021

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Pancreatic pseudocyst formation with extension into the mediastinum is an uncommon complication of pancreatitis that can result in numerous pulmonary and cardiac complications. We present a case of a 56-year-old man with a history of recurrent pancreatitis who presented with haemoptysis. His initial workup was consistent with diffuse alveolar haemorrhage for which he was treated with glucocorticoids. After failure to improve, further imaging demonstrated a complex fluid collection in the mediastinum consistent with extension of his pre-existing pancreatic pseudocyst, leading to erosion into the right lower lobe of the lung. This case highlights a rare pulmonary complication of pancreatitis and underscores the importance of proper identification of this condition to guide successful management.

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Staged surgical treatment of the patient with chronic pancreatitis

et al. 2021

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A clinical case of successful surgical treatment of a patient with chronic pancreatitis, complicated by suppuration of a postnecrotic cyst and the formation of a cysto-gastric fistula. As a result of the conservative and minimally invasive treatment, the pseudocyst was drained, and the cystogastric fistula was closed. The staged treatment was completed by resection of the head of the pancreas with the formation of an anastomosis.

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Staged Interventional and Surgical Treatment of Patient with Chronic Pancreatitis Complicated by Pancreaticopleural Fistula with Lung Abscesses

Cited by 3 publications

References 0 publications

Transdiaphragmatic Pancreatic Fistulas

Transdiaphragmatic Pancreatic Fistulas

Mediastinal pancreatic pseudocyst masquerading as diffuse alveolar haemorrhage

Staged surgical treatment of the patient with chronic pancreatitis

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